Cardiac Surgery Suite Cleaning and Sanitization Protocol

1. Terminal Cleaning Requirements

1.1 Frequency

• After each surgical procedure
• End-of-day deep cleaning
• Weekly terminal cleaning schedule

1.2 Personnel Requirements

• Environmental Services (EVS) staff trained in OR protocols
• Personal Protective Equipment (PPE)
  • Surgical mask
  • Eye protection
  • Impervious gown
  • Double gloves

2. Cleaning Sequence

2.1 Initial Steps

1. Remove all disposable items
2. Collect and dispose of regulated medical waste
3. Remove soiled linen in appropriate containers

2.2 Equipment Cleaning

• Clean and disinfect all surfaces of:
  • OR table and accessories
  • Anesthesia equipment
  • Perfusion equipment
  • Surgical lights
  • All monitors and equipment

2.3 Environmental Cleaning

1. Ceiling to floor approach
2. Clean all horizontal surfaces
3. Walls up to 6 feet
4. Floor (three-step process)

3. Approved Cleaning Solutions

3.1 Primary Agents

• Quaternary ammonium compounds
• Hospital-grade disinfectants with tuberculocidal claims
• EPA-registered hydrogen peroxide solutions

3.2 Special Considerations

• Use manufacturer-approved cleaners for sensitive equipment
• Follow contact time requirements
• Maintain proper dilution ratios

4. Quality Control

4.1 Verification Methods

• UV light inspection
• ATP testing of high-touch surfaces
• Regular environmental cultures

4.2 Documentation

• Cleaning checklist completion
• Quality assurance sign-off
• Maintenance of cleaning logs

5. Special Circumstances

5.1 Infectious Cases

• Additional PPE requirements
• Extended cleaning protocols
• Specialized disinfection agents

5.2 Emergency Procedures

• Rapid turnover protocols
• Essential cleaning steps
• Documentation requirements